Adam Hurewitz's research while affiliated with Winthrop University Hospital and other places

Publications (15)

Article
Full-text available
Aggressive weight-based dosing guidelines help achieve prompt therapeutic anticoagulation in patients with venous thromboembolism (VTE). While obese patients with VTE face an increased risk of recurrence, physicians typically resist prescribing doses two to three times the usual dose because of concern about bleeding complications. To examine the u...
Article
Chronic lung diseases are typically associated with impaired quality of life, stress, and anxiety. Written disclosure therapy (WDT) reduces stress in patients with a variety of chronic illnesses. We sought to determine whether WDT benefits patients with chronic lung disease. A prospective, randomized, controlled trial was performed to evaluate the...
Article
PURPOSE: CT pulmonary angiography (CTPA) is the preferred diagnostic modality for pulmonary embolism (PE) in many institutions. With no additional contrast, CT venography (CTV) can be used to detect deep vein thombosis (DVT). We hypothesized that the transition from nuclear lung scans (V/Q scan) to contrast CT scans increases the capacity to diagno...
Article
PURPOSE: We evaluated characteristics of asthma care and documentation by pediatricians (P), pediatric pulmonologists (PP), adult pulmonologists (AP) and allergists (A) at an academic medical center. METHODS: Practice habits and documentation was extracted from 120 charts randomly chosen from each practice. 4 charts were dropped from pediatrics <6...
Article
PURPOSE: To determine whether CTPA accurately portrays right ventricular (RV) and pulmonary artery (PA)dilatation and to correlate these findings with echocardiographic data in patients with central PE. METHODS: We retrospectively reviewed data of consecutive patients with central PE diagnosed by CTPA at our institution over a 3 year period. We rec...
Article
PURPOSE: A review of the diagnostic studies performed in the evaluation of suspected venous thromboembolism (VTE) in obstretical patients at a tertiary care center. METHODS: A retrospective review of all obstetrical patients undergoing either ventilation-perfusion (VQ) scanning, computerized tomographic pulmonary angiography (CTPA), or venous duple...
Article
PURPOSE: To review the presentation and management of patients with central pulmonary embolism (PE) at a University Medical Center. Central PE was defined as clot in the main pulmonary artery or multiple lobar branches. METHODS: We retrospectively reviewed the records of consecutive patients with central PE detected by CT pulmonary angiography (CTP...
Article
Pulmonary embolism (PE) and deep venous thrombosis (DVT) are a continuum and are difficult to diagnose clinically. Combined CT venography and pulmonary angiography (CTVPA) is a single examination that combines multidetector CT pulmonary angiography (CTPA) and CT venography (CTV) of the abdomen, pelvis, and lower extremities, providing "one-stop sho...
Article
To determine the feasibility of rapid pleurodesis in patients with malignant pleural effusions in order to reduce hospital length of stay in patients with a limited life expectancy. Prospective case series. Two university hospital programs. Thirty-eight patients with symptomatic pleural effusions associated with malignancy. A 14F catheter was inser...
Article
Relaxation techniques can lead to symptom reduction and improved pulmonary functioning in asthmatics, although the mechanism is not clear. One possibility is by influencing cortisol secretion, as cortisol is implicated in inflammatory processes and relaxation has been shown to alter cortisol secretion in healthy individuals. This study explored the...
Article
Full-text available
In a previous study, the authors found that structured writing about stressful events improved symptomatology in 112 patients with rheumatoid arthritis and asthma relative to patients who did not write (J. Smyth, A. Stone, A. Hurewitz, & A. Kaell, 1999). However, little is currently known about the pathways from the intervention to alterations in o...
Article
This study examines the relationship among psychosocial factors, asthma symptoms, and peak expiratory flow rate (PEFR) in the natural environment. Twenty adult asthmatics wore preprogrammed wristwatches that prompted them to assess PEFR, asthma symptoms, and psychosocial factors five times a day for 10 days. Psychosocial variables (activities, loca...
Article
Evidence indicates that psychological stress plays a role in precipitating and exacerbating asthma symptoms and suggests that relaxation techniques aimed at reducing stress and autonomic arousal leads to symptom reduction. This study explored the effect of a tape-recorded relaxation intervention on well-being (mood and stresson). asthma symptoms, a...
Article
Full-text available
Nonpharmacological treatments with little patient cost or risk are useful supplements to pharmacotherapy in the treatment of patients with chronic illness. Research has demonstrated that writing about emotionally traumatic experiences has a surprisingly beneficial effect on symptom reports, well-being, and health care use in healthy individuals. To...

Citations

... Nonostante questo, in uno studio a opera di Smyth et al. (93) è stato esplorato l'effetto di esercizi di rilassamento, di tipo muscolare e respiratorio, sull'asma. I sintomi sono diminuiti in seguito alla riduzione delle componenti di ansia e di stress. ...
... Observations are typically obtained by using modern electronic devices such as personal digital assistants or smart phones programmed for data collection. The use of EMA methods is growing rapidly with examples ranging from alcohol abuse (Collins et al., 1998) to pain (Raselli and Broderick, 2007), eating disorders (Pieters et al., 2006) and asthma (Smyth et al., 2001 ). EMA has also been used to assess the outcome of randomized clinical trials, and to analyse putative processes that may mediate effects of treatment (Shiffman, 2009). ...
... Körpergewicht (≥ 120 kg). Retrospektive Untersuchungen zeigen, dass adipöse Patienten den Zielbereich der aPTT langsamer erreichen [25,26]. Pragmatische Dosierungen von beispielsweise "1000 IE/h" führen bei ca. ...
... Other arts reported in the studies include 4 rhythm-based, 27,28,30,70 2 singing, 33,34 1 theater, 37 and 1 writing-based intervention. 78 The administrators executing these art interventions included trained and experienced professionals in a branch of the arts, such as music therapists, musicians, and dance instructors. There were also studies administered by rehabilitation specialists, such as physical therapists, physical therapy students, and occupational therapists. ...
... A psychological intervention which has been subject to much empirical research in both clinical and non-clinical populations is Written Emotional Disclosure (WED) [21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37]. This therapy typically involves writing about a stressful or traumatic experience for 20 minutes a day over three consecutive days and has been found to have significant effects on a range of measures of physical and psychological wellbeing [28]. ...
... 79 Although naturalistic clinical assessments are not as common, in a small sample of adult asthmatics, it has been shown that everyday stressors, assessed across 10 consecutive days using preprogrammed watches, linked to peak expiratory flow rate values and symptoms. 80 Ciprandi et al showed in a diverse Italian outpatient population, using a questionnaire quantifying levels of anxiety and depression, that a significant inverse correlation exists between anxiety scores and asthma control levels as reflected by subjective and objective measures like FEV 1 , fractional exhaled NO levels, Asthma Control Test scores, and physical findings. 81 The widely accepted complexity of stress-related effects on asthma is further augmented by the fact that throughout childhood and adolescence, several changes occur in the neuroendocrine function, with a dramatic change in reactivity exhibited by the HPA axis in response to stressors. ...
... The narrative is a space for transformation and resignifies the traumatic experience, through which the narrator reconstructs a broken self-narrative story after a traumatic experience (Angus & McLeod, related to the condition of evasion (Stanton et al., 2002). On the other hand, understanding of the change processes that underlie the beneficial effects of writing is incomplete Stone, Smith, Kaell, & Hurewitz, 2000). ...
... Moreover, the large biopsy can also be used to perform supplementary tests for more advanced management such as immunotherapy or hormone receptor status for breast cancer. (8). Prognosis is influenced by biological aggressivity of malignancy, histology of the tumor, timely diagnosis, and the success of relatively narrow field of therapeutic thoraco-surgical procedures. ...
... • При распространении тромбоза на илиокавальный сегмент в случае невозможности определения его проксимальной границы и эмболоопасности по данным дуплексного УЗАС рекомендуется выполнение ретроградной илиокавографии или спиральной компьютерной томографии [91,92,93,94]. УУР B (УДД -2) • Пациентам, которым оперативное лечение планируется в отсроченном порядке через несколько дней после травмы, рекомендуется выполнение УЗАС обеих нижних конечностей с максимальным приближением исследования к дате операции для выявления бессимптомных венозных тромбозов, особенно если адекватная медикаментозная про-филактика не проводилась [89,95,96,97,98,99]. ...